Little Mountain Elementary School COVID-19 Reporting for Students/Staff
Thank you for reporting a close contact, a household contact or a positive case of COVID-19. A School Nurse will follow up regarding return dates and any additional data needed. Please do not return to school until a School Nurse has spoken with you. If you are reporting after hours, the School Nurse will get back with you on the next school day.

You will be asked which one of these you will be reporting:

Close Contact (within 6ft for a cumulative of 15 minutes of a positive case of COVID-19)

Household Contact (student or staff lives with a person who has tested positive for COVID-19)

Positive (student/staff tested positive for COVID-19)

Symptoms ( One of these: Fever, Shortness of breath or difficulty breathing, Loss of taste or smell, New or worsening cough OR two of these: Sore throat, Headache, Chills, Nausea or vomiting, Muscle or body aches, Congestion or runny nose, Fatigue, Diarrhea)


Please choose from the following: *
First Name of Student or Staff: *
Last Name of Student or Staff: *
Date of Birth of student or staff: *
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DD
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YYYY
School or District Location: *
For follow up, indicate your preference of how you would like to be contacted: *
Best Phone Number to Reach You: *
Email address (list "none" if none available): *
What are you reporting? *
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